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Contact Information

STEPHEN L VILTRAKIS, MD
3300 RENNER DR.
FORTUNA, CA95540
 Phone: 707-725-3361
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for STEPHEN L VILTRAKIS · (Male)

NPI # 1992891295
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G72357
  • CA Medicaid 00G723570
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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